The purpose of this study was to examine the relationship between a faith-based initiative and hospital readmissions. The main data source used was the inpatient data-base of Methodist LeBonheur Healthcare System (MLH) in Memphis, TN. Data were collected from admissions that occurred during years 2008 through 2012 at four of MLH's five adult acute-care hospitals. Data from the U.S. Census Bureau's American Community Survey were also used in the study.
This study uses theoretical tenets from the Social Justice and Equity Theory and the Chronic Care Model as its conceptual framework. The study consisted of an aggregated cross-section data analysis. Univariate, bivariate, and multivariate statistics were calculated using PASW/SPSS statistical software, version 20. The dependent variable was hospital readmission within 30 days of an index admission. The independent variable was CHN member or non-CHN member. Due to the dependent variable being dichotomous, logistic regression was determined to be the most appropriate analysis.
Key findings in the study indicated that among inpatients admitted for chronic conditions, the likelihood of readmission for CHN members was not significantly different than that of non-CHN members. Secondly, among inpatients admitted for chronic conditions and residing in low socioeconomic neighborhoods, the likelihood of readmis-sion was not significantly different between CHN and non-CHN members. Additional findings indicated that among patients with chronic illnesses, an increase in level of severity of illness contributes significantly to higher odds of readmission. Finally, the study indicated that among the four chronic illnesses identified in the study, CHF has significantly higher odds of being readmitted within 30 days.
|Commitee:||Cutts, Teresa F., Hearld, Larry R., Szychowski, Jeffery M., Weech-Maldonado, Robert|
|School:||The University of Alabama at Birmingham|
|School Location:||United States -- Alabama|
|Source:||DAI-B 74/12(E), Dissertation Abstracts International|
|Subjects:||Health care management|
|Keywords:||Chronic illnesses, Faith-based initiative, Healthcare disparities, Index admission, Preventable readmission|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be